| NPI | 1083689137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036114916) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: MA 223293) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-10-06 |